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Assessment of the correlation between various risk factors and orofacial cleft disorder spectrum: a retrospective case-control study

  • Cheshmi, Behzad (Department of Oral and Maxillofacial Medicine, Faculty of Dentistry, Broujerd Branch, Islamic Azad University) ;
  • Jafari, Zahra (Department of Oral and Maxillofacial Medicine, Faculty of Dentistry, Broujerd Branch, Islamic Azad University) ;
  • Naseri, Mohammad Ali (Department of Orthodontics and Dentofacial Orthopedics, Broujerd Branch, Islamic Azad University) ;
  • Davari, Heidar Ali (Craniofacial & Cleft Research Center, Isfahan University of Medical Sciences)
  • Received : 2020.06.30
  • Accepted : 2020.07.22
  • Published : 2020.12.31

Abstract

Background: Orofacial clefts (OFCs) comprise a wide range of malformations, including cleft lip, cleft palate, and cleft lip with cleft palate, which can vary in terms of etiology, severity, and disease burden. Objective(s): This study aimed to evaluate the correlation between various risk factors and orofacial cleft disorder spectrum in newborns. Study design: A total of 323 cases and 400 controls were enrolled in this study and evaluated in terms of the maternal history of abortion or miscarriage, child's sex, maternal and paternal age, maternal history of systemic disease, history of medication therapy during pregnancy, birth order, consanguineous marriage, and complications during pregnancy. Results: Analysis of the results suggested that consanguineous marriage, a maternal history of abortion/miscarriage, and complications during pregnancy could potentially increase the risk of OFCs in children (P < 0.05). However, the analyses revealed that the other variables could not potentially increase the risk of OFCs (P > 0.05). Conclusion(s): Multiple cofactors may simultaneously contribute to the formation of such abnormalities; therefore, a comprehensive, multidisciplinary care program is necessary to ensure a successful pregnancy period and the birth of a healthy newborn.

Keywords

Acknowledgement

We would like to thank the Faculty of Dentistry of Broujerd Islamic Azad University and Craniofacial and Cleft Research Center of Isfahan University of Medical Sciences for their constructive collaborations.

References

  1. Pereira AV, Fradinho N, Carmo S, de Sousa JM, Rasteiro D, Duarte R et al (2018) Associated malformations in children with orofacial clefts in Portugal: a 31-year study. Plast Reconstr Surg Glob Open 6(2)
  2. Eshete M, Butali A, Abate F, Hailu T, Hailu A, Degu S et al (2020) The role of environmental factors in the etiology of nonsyndromic orofacial clefts. J Craniofacial Surg 31(1):113-116
  3. Moreno Uribe L, Fomina T, Munger R, Romitti P, Jenkins M, Gjessing HK et al (2017) A population-based study of effects of genetic loci on orofacial clefts. J Dent Res 96(11):1322-1329
  4. Saleem K, Zaib T, Sun W, Fu S (2019) Assessment of candidate genes and genetic heterogeneity in human non syndromic orofacial clefts specifically non syndromic cleft lip with or without palate. Heliyon 5(12):e03019
  5. Raut JR, Simeone RM, Tinker SC, Canfield MA, Day RS, Agopian A (2019) Proportion of orofacial clefts attributable to recognized risk factors. Cleft Palate-Craniofacial J 56(2):151-158
  6. Beaty TH, Marazita ML, Leslie EJ (2016) Genetic factors influencing risk to orofacial clefts: today's challenges and tomorrow's opportunities. F1000Research 5.
  7. Tolarova MM (2016) Global health issues related to cleft lip and palate: prevention and treatment need to team together. Indian J Dent Res 27(5):455
  8. Burg ML, Chai Y, Yao CA, Magee W III, Figueiredo JC (2016) Epidemiology, etiology, and treatment of isolated cleft palate. Front Physiol 7:67
  9. Agbenorku P (2013) Orofacial clefts: a worldwide review of the problem. ISRN Plastic Surgery 2013
  10. Panamonta V, Pradubwong S, Panamonta M, Chowchuen B (2015) Global birth prevalence of orofacial clefts: a systematic review. J Med Assoc Thail 98(Suppl 7):S11-S21
  11. Cleft Lip and Palate. (2019). https://www.hopkinsmedicine.org/health/conditions-and-diseases/cleft-lip-and-palate.
  12. Cleft Lip and Cleft Palate. (2019). https://stanfordhealthcare.org/medical-conditions/mouth-and-jaw/cleft-lip-cleft-palate.html.
  13. Al-Mendalawi MD (2011) Incidence of cleft lip and palate in Iran. A meta-analysis. Saudi Med J 32(11):1208
  14. Xu D-P, W-d Q, Sun C, Cao R-Y, D-w L, P-g D (2018) A study on environmental factors for nonsyndromic cleft lip and/or palate. J Craniofacial Surg 29(2):364-367
  15. Corona-Rivera JR, Bobadilla-Morales L, Corona-Rivera A, Pena-Padilla C, Olvera-Molina S, Orozco-Martin MA et al (2018) Prevalence of orofacial clefts and risks for nonsyndromic cleft lip with or without cleft palate in newborns at a university hospital from West Mexico. Congenital Anomalies 58(4):117-123
  16. Bui AH, Ayub A, Ahmed MK, Taioli E, Taub PJ (2018) Association between cleft lip and/or cleft palate and family history of cancer: a case-control study. Ann Plast Surg 80(4):S178-S181
  17. Mbuyi-musanzayi S, Kayembe TJ, Kashal MK, Lukusa PT, Kalenga PM, Tshilombo FK et al (2018) Non-syndromic cleft lip and/or cleft palate: epidemiology and risk factors in Lubumbashi (DR Congo), a case-control study. J Cranio-Maxillofac Surg 46(7):1051-1058
  18. Acuna-Gonzalez G, Medina-Solis CE, Maupome G, Escoffie-Ramirez M, Hernandez-Romano J, Marquez-Corona ML et al (2011) Family history and socioeconomic risk factors for non-syndromic cleft lip and palate: a matched case-control study in a less developed country. Biomedica 31(3):381-391
  19. Carmichael SL, Shaw GM, Yang W, Abrams B, Lammer EJ (2007) Maternal stressful life events and risks of birth defects. Epidemiology (Cambridge, mass) 18 (3):356.
  20. Barrera C, Mezarobba N (2016) Maternal risk factors associated with cleft lip with or without cleft palate: a review. Int J Odontostomat 10(2):359-368
  21. Phyu MMN, Lin Z, Tun KM, Wei THM, Maung KK (2020) Maternal stressful events and socioeconomic status among orofacial cleft families: a hospital-based study. J Cleft Lip Palate Craniofacial Anomalies 7(1):24
  22. Lim HJ, Wang H (2010) Uterine disorders and pregnancy complications: insights from mouse models. J Clin Invest 120(4):1004-1015
  23. Kianifar H, Hasanzadeh N, Jahanbin A, Ezzati A, Kianifar H (2015) Cleft lip and palate: a 30-year epidemiologic study in north-east of Iran. Iran J Otorhinolaryngol 27(78):35
  24. Jia ZL, Shi B, Chen CH, Shi JY, Wu J, Xu X (2011) Maternal malnutrition, environmental exposure during pregnancy and the risk of non-syndromic orofacial clefts. Oral Dis 17(6):584-589
  25. Kallen B (2003) Maternal drug use and infant cleft lip/palate with special reference to corticoids. Cleft Palate-Craniofacial J 40(6):624-628
  26. Puho EH, Szunyogh M, Metneki J, Czeizel AE (2007) Drug treatment during pregnancy and isolated orofacial clefts in Hungary. Cleft Palate-Craniofacial J 44(2):194-202
  27. Ostensen M (2004) Disease specific problems related to drug therapy in pregnancy. Lupus 13(9):746-750
  28. Hill L, Murphy M, McDowall M, Paul A (1988) Maternal drug histories and congenital malformations: limb reduction defects and oral clefts. J Epidemiol Community Health 42(1):1-7
  29. Ofori B, Oraichi D, Blais L, Rey E, Berard A (2006) Risk of congenital anomalies in pregnant users of non-steroidal anti-inflammatory drugs: a nested case-control study. Birth Defects Res B Dev Reprodu Toxicol 77(4):268-279
  30. Dolovich LR, Addis A, Vaillancourt JR, Power JB, Koren G, Einarson TR (1998) Benzodiazepine use in pregnancy and major malformations or oral cleft: meta-analysis of cohort and case-control studies. Bmj 317(7162):839-843
  31. Lin KJ, Mitchell AA, Yau W-P, Louik C, Hernandez-Diaz S (2012) Maternal exposure to amoxicillin and the risk of oral clefts. Epidemiology (Cambridge, Mass) 23(5):699
  32. Molgaard-Nielsen D, Hviid A (2012) Maternal use of antibiotics and the risk of orofacial clefts: a nationwide cohort study. Pharmacoepidemiol Drug Saf 21(3):246-253
  33. Combs D (1995) Dorland's illustrated medical dictionary. J Fam Pract 40(2):191-192
  34. Mirilas P, Mentessidou A, Kontis E, Asimakidou M, Moxham B, Petropoulos A et al (2011) Parental exposures and risk of nonsyndromic orofacial clefts in offspring: a case-control study in Greece. Int J Pediatr Otorhinolaryngol 75(5):695-699
  35. Taghavi N, Mollaian M, Alizadeh P, Moshref M, Modabernia S, Akbarzadeh A (2012) Orofacial clefts and risk factors in Tehran, Iran: a case control study. Iran Red Crescent Med J 14(1):25
  36. Krapels IP, Zielhuis GA, Vroom F, de Jong-van den Berg LT, Kuijpers-Jagtman AM, van der Molen ABM et al (2006) Periconceptional health and lifestyle factors of both parents affect the risk of live-born children with orofacial clefts. Birth Defects Research A Clin Mol Teratol 76(8):613-620
  37. Heidari F, Dastgiri S (2019) Prevalence and risk factors of consanguineous marriage. Depiction Health 5(2):7-14
  38. Obeidat BR, Khader YS, Amarin ZO, Kassawneh M, Al Omari M (2010) Consanguinity and adverse pregnancy outcomes: the north of Jordan experience. Matern Child Health J 14(2):283-289
  39. Akrami SM, Montazeri V, Shomali SR, Heshmat R, Larijani B (2009) Is there a significant trend in prevalence of consanguineous marriage in Tehran? A review of three generations. J Genet Couns 18(1):82
  40. Nouri N, Nouri N, Tirgar S, Soleimani E, Yazdani V, Zahedi F et al (2017) Consanguineous marriages in the genetic counseling centers of Isfahan and the ethical issues of clinical consultations. J Med Ethics History Med 10:12
  41. Saadat M, Zarghami M (2018) Consanguineous marriages among Iranian Mandaeans living in south-West Iran. J Biosoc Sci 50(4):451-456
  42. Saadat M, Ansari-Lari M, Farhud D (2004) Short report consanguineous marriage in Iran. Ann Hum Biol 31(2):263-269
  43. de Queiroz Herkrath APC, Herkrath FJ, Rebelo MAB, Vettore MV (2012) Parental age as a risk factor for non-syndromic oral clefts: a meta-analysis. J Dent 40(1):3-14
  44. Vieira AR, Orioli IM (2002) Birth order and oral clefts: a meta analysis. Teratology 66(5):209-216

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